change agent
DESCRIPTION
keperawaatanTRANSCRIPT
PERAN PERAWAT SEBAGAICHANGE AGENT
By.Nursalam
ROLE OF THE PROFESSIONAL NURSEROLE OF THE PROFESSIONAL NURSE
ELEMENT
PATIENT ADVOCATE
CHANGE AGENT CONSULTANT
INTERPERSONAL PROCESS
EDUCATORCOLLABORATOR
CARE GIVER
CONSELORCOORDINATOR
TANTANGAN TANTANGAN DIDIERA GLOBALERA GLOBAL
MAMPU MERUBAH MINDSET
1. MAMPU MENGELOLA PERUBAHAN (MANAGEMENT OF CHANGES)
2. BEKERJASAMA DENGAN STAKEHOLDER YANG LAIN DALAM MENINGKATKAN KEMAMPUAN BERSAING
3. REORIENTASI STATUS (ALAT PRODUKSI PRODUSEN INVESTOR)
(*)
4. MENINGKATKAN NILAI ASET DALAM SKENARIO ASET (RUMAH-SAKIT, PENDK)
PASIEN
Widodo JP’2004
WHY WE NEED TOWHY WE NEED TOCHANGE?CHANGE?
The time are changed and we arechanged within them
“Perawat dan keperawatan menghadapi danberada dalam perubahan / proses berubah”
Society and its institutions are faced with a needfor change and not merely to react to change
(Basil & Cook, 1974)
Future NursesTomorrow’s nurses must rely on a strong dan diverse
knowledge base.
Our time has come. The opportunity is ours toreposition nursing as a powerful and essential force
in this changed environment: opportunity that isunchallenged remains dormant and useless. Nursing
must take its opportunity with courage and clearvision for future role and potential for making a moajor
positive impact on the health and well-being of thenations’s people …. (Strickland & Fishman – Nursing
Issues)
T E A MT = TOGETHERE = EVERYONE
A = ACCEPTM = MORE
CYCLE OF CHANGE & EFFECT?
C1: CONSUMER - PATIENTS / COMMUNITY - STUDENTS
C2: COMPANY C3:COMPETITORS- HOSPITAL- PSIK (PTN/S, STIKES) NURSES, AKPER, OTHERS
C4: CHANGECHANCE - CHALLENGING / TREATENED
•GLOBALE ISSUES
• MALPRACTICE
PELUANG KE DEPAN
MENGANTARKAN PENDAKIGUNUNG SAMPAI KE DUSUN
TERAKHIR SEBELUM PENDAKIAN
APA UPAYA MENGHADAPI PERSAINGAN?
JANGAN HANYAMEGNHANTARKAN KE
DEPAN PINTU GERBANGSAJA!
BAGAIMANA PERAWATBAGAIMANA PERAWAT SBGSBGAKTORAKTOR
CHANGE AGENT?CHANGE AGENT?
BERJUANG DGN -ITS
SAMAKANVISI
VISI KITA
Nursalam-08
SAMAKAN VISI PERAWATSAMAKAN VISI PERAWATSBG CHANGE AGENTSBG CHANGE AGENT
sikap positif belajar mandiri motivasi (visi diri) mind set - keterbukaan DON’T EXPECT TO MUCH POSTPHONE HAPPINESS
MELAKUKAN HAL YANG SAMA BERULANG-ULANGDan
MENGHARAPKAN HASILNYA BERBEDA
Perlu ada perubahan dalam cara berfikir dan bertindakPerlu dicari kunci yang SESUAI untuk meningkatkanMUTU KEPERAWATAN DI INDONESIA
LINGKUP KEGIATAN DLMLINGKUP KEGIATAN DLMCHANGE AGENTCHANGE AGENT
??
PRAKTIK DAN PELAYANAN
PENDIDIKAN
ILMU KEPERAWATAN – RISET
ORGANISASI PROFESI
11C-AC-A
PRAKTIK DAN PELAYANANPRAKTIK DAN PELAYANAN
1.1 PRAKTIK KEPERAWATAN1.1 PRAKTIK KEPERAWATANA. MODEL ASUHANA. MODEL ASUHAN KEPERAWATAN KEPERAWATAN …… ? ?B. B. UU UU ––PRAKTIKPRAKTIK PERAWAT! PERAWAT!
Aims
♦ Improve quality of nursing care
♦ Streamline and facilitate co-ordination of care
♦ Facilitate effective discharge planning and patient
education
♦ Manage and optimize patient length of stay
♦ Improve communication process
MANAGING NURSING CAREDELIVERY SYSTEMMODEL MAKPWard-Based Case Management
Standar :KebijakanInstitusi/Nas
Proses Kep. :- Pengkajian- Perencanaan- Intervensi- Evaluasi
Pendidikan Klien- Pencegahan peny.- Mempertahan- Informed consert- Rencana pulang
Sistem MAKP- Fungsional- Tim- Primer- Modular- Modifikasi
HUBUNGAN ANTARA KE 4 UNSUR DALAMPENERAPANAN MODEL MAKP
1. PENERAPAN MAKP2. TIMBANG TERIMA3. RONDE KEPERAWATAN4. PENGELOLAAN LOGISTIK & OBAT5. DISCHARGE PLANNING6. SUPERVISI7. DOKUMENTASI
FOKUS - MAKP
ASPEK ETIK Sistem Etik Azas EtikKode Etik
ASPEK HUKUM UU No. 23 Tahun 1992 PP No. 32 Tahun 1996 KEP MENKES No. 1239 Tahun 2001* UU PRAKTIK?
PK I
PK II
PK V
PK IV
PK III
1.3 PENATAAN
PENJENJANGAN KARIERPENJENJANGAN KARIR
1. PERAWAT KLINIK (PK)
2. PERAWAT MANAJER (PM)
3. PERAWAT PENDIDIK (PP)
4. PERAWAT PENELITI RISET (PR)
SYARAT PENJENJANGAN KARIER PK
1. PENDIDIKAN MIN. DIII KEP
2. PENGALAMAN KERJA
3. PROGRAM SERTIFIKASI
4. UJI KOMPETENSI NAS
5. PENATAAN REWARD SYSTEM
1.4 ROLE1.4 ROLE C C AA RR EEC = Communication
A = Activity (Pattients’ Need )
R = Responsiveness(ETHIC & LEGAL)
E = Education /ENTERPREUNER
Smile and behappy whileyou can, lifewill go on…Ha Ha Ha
!!!
C:COMMUNICATION
A: ACTIVITY,A: ACTIVITY,EXCELLENCE SKILLSEXCELLENCE SKILLS
RRRESPONSIVENESSRESPONSIVENESS
LEGAL ASPECT
1. UU-KES 23/1992
2. KEPMENKES 1239/2001
ETHICAL ASPECT
1. KODE ETIK PPNI
2. PRINSIP ETIK
NILAI MORAL DANBUDAYA
SOFT SKILLS NERS TanggungTanggung jawabjawab dandan TanggungTanggung
gugat:SSgugat:SS Empati:SSEmpati:SS BerfikirBerfikir kritis:HSkritis:HS & SS & SS Disiplin:SSDisiplin:SS Leadership:HSLeadership:HS & SS & SS KreativitasKreativitas dandan inovatif:HSinovatif:HS & &
SSSS Inisiatif:SSInisiatif:SS KomunikatifKomunikatif: HS & SS: HS & SS Team work: HS & SSTeam work: HS & SSAntusiasAntusias: SS: SSAsertifAsertif: SS: SSTanggapTanggap: SS: SS
Berdedikasi:SSBerdedikasi:SSTelitiTeliti: SS: SSPercayaPercaya diridiri: SS: SSBerperilakuBerperilaku etisetis: SS: SSProblem solving: HS & SSProblem solving: HS & SSEntrepreneurship HS & SSEntrepreneurship HS & SSMenghargaiMenghargai hasilhasil karyakarya orangorang lain: lain:
SSSSAltruistikAltruistik: SS: SSLifelong Lifelong learning:SSlearning:SSDecision making Decision making dalamdalam ASKEP ASKEPConscienceConscienceRisk takingRisk taking
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SoftskillSoftskill
E: E: EDUCATIONEDUCATIONThe Power To Make AThe Power To Make A
Difference!Difference!
22C - AC - A
PENDIDIKANPENDIDIKAN
PENATAAN SISTEM PEND. TINGGIPENATAAN SISTEM PEND. TINGGI
KEPERAWATANKEPERAWATAN
A. KOMPETENSI
B. POLA
C. REGULASI
D. KUALITAS SDM (PENGAJAR)
E. FASILITAS PEMBELAJARAN
F. METODE (AKADEMIK – PROFESI)
How Education is Changed
DoingEmphasisTheoryFlexibleClassesProgrammedLearning toolsMistakesFearedGeneratorsStudentsPassiveFacilitatorLeadershipExpertWho & HowExpectationsWhatStudentOwnershipTeacherProcessFokusContent
New EntrepreneurialEducation
Old IndustrialEducation
BACA
INGGRIS
KOMPUTER
PEMBEKALAN KOMPETENSIPEMBEKALAN KOMPETENSIKHUSUS KHUSUS –– BERSAING BERSAING
1.STANDAR PRAKTIK– INTERNATIONAL(VIA PENGALAMAN PRAKTIK – RS?)
2.BAHASA ASING (MINIMAL – ENGLISH);ARAB, MANDARIN, JEPANG,PERANCIS)
3.TRANSCULTURAL?
4.ASUHAN KEPERAWATAN KHUSUS (i.e.KRITIS; HIV; HOME CARE;, DLL)
PERSIAPKANPERSIAPKAN
1.NETWORKING DGN STAKEHOLDER
2.HASIL UJI – TOEFL & IELTS DLL
3.PRACTICE – ENCILEX (NURSING EXAM)
3 3 C-AC-ASAINS DANSAINS DANTEKNOLOGITEKNOLOGI
(RISET)(RISET)
PENGEMBANGAN ILMU KEPERAWATAN - RISET
HOW TO APPLY IN CARING
LEARNING PROCESS
Stress PERCEPTION
(-)
RESP. BIOLOGICAL
HPA-AXIS (cortisol -)
Induce Immune response
Immune responseModulation
)
MODEL ofCARING
ADAPTATION
COPING(+)
-Utilizing sos. Support-Looking for silver Lining-Acceptance-Rasionalisation
CARE
44C-AC-A
PERAN ORGANISASIPROFESI (PPNI) YANG
OPTIMAL DLM SISTEMKESEHATAN NASIONAL
CAPTURINGCAPTURINGCONSUMERCONSUMER’’S MINDS MIND
DOCTOR
BRAND
SERVICE
POSITIONING/PROCESS
NURSES OTHERS HEALTH PROFESSION
KESIMPULAN
CHANGE AGENTCHANGE AGENTKOREK KOREK APIAPI
KOREK: (Kolektivitas, PengOrganisasian, Re-tail, Efisien & Efektif, Komitmen)
A P I”A = AKTUALITAS
P = PRODUKTIFITAS
I = INOVATIF
HARUS KUWATHARUS KUWATK= KEMAUANU= UANGW= WAKTUA= ALAT –SARANAT= TENAGA (KUALITAS & KUANTITAS)
GOOD LUCK!GOOD LUCK!
“You don’t have to be great to get started, butyou have to get started to be great”
--------- Les Brown ----------